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General NPI Number Information
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NPI Number | 1619359171
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Entity Type | Individual
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Provider Name | LARA A. MAY DNP, APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 09/11/2022
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Provider Practice Location Address
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Address Line | 230 HIGHWAY 5 N STE 10
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3013
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Country | US
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Telephone | 870-232-0900
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Fax | 870-232-0888
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Provider Business Mailing Address
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Address Line | 230 HIGHWAY 5 N
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3027
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Country | US
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Telephone | 870-232-0900
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Fax | 870-232-0888
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 212861
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2015019788
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 212861
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 212861
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License Number State | AR
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